Brian Thomas Kelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013305 Issued in NY

Practice address

8807 165TH Ave
Howard Beach, NY 11414-3639

Phone

(347) 670-7429

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adjust New York Chiropractic, P.C.

  • Chiropractor
  • Howard Beach, NY
  • NPI 1295454742
  NPD Authorized official
• Community Chiropractic and Acupuncture of Park Slope,PLLC

  • Neurology Chiropractor
  • Brooklyn, NY
  • NPI 1366925950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1760056006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8807 165TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143639",
            "telephone_number": "347-670-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8807 165TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143639",
            "telephone_number": "347-670-7429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8807 165th Ave",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114143639",
            "country_code": "US",
            "telephone_number": "347-670-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 8th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112152280",
            "country_code": "US",
            "telephone_number": "718-398-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Jovanovich
• Justice Journey Wellness LLC
• Kishore Kanduri
• Chyung-Fen Kao
• Julia Katchen, LMSW
• Jeanne Marie Kelly, MA, CCC-SLP
• Emily Kelman-Bravo, LCSW
• Elizabeth Leuci Keogh, PT
• Wajiha Khalid, PHARM.D.
• Saefullah Khan

• Chiropractor in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.